Maternal mental health during the COVID-19 lockdown in China, Italy, and the Netherlands: a cross-validation study.
Maternal mental health during the COVID-19 lockdown in China, Italy, and the Netherlands: a cross-validation study.
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DOI：
10.1017/s0033291720005504
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发表时间：
2021-01-13
影响因子：
6.9
通讯作者：
Riem MME
中科院分区：
文献类型：
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作者：
Guo J;De Carli P;Lodder P;Bakermans-Kranenburg MJ;Riem MME
2019冠状病毒病（COVID-19）疫情为母亲带来负面影响及新的压力。目前的研究旨在比较中国、意大利和荷兰在COVID-19封锁期间预测孕产妇心理健康的因素。样本包括900名荷兰母亲、641名意大利母亲和922名中国母亲（年龄M = 36.74，s.d.）。= 5.58），他们在封锁期间完成了一份在线问卷。采用十重交叉验证模型来探讨孕产妇心理健康相关因素的预测性能，并测试各国之间的相似性和差异。在每个国家，与COVID-19相关的压力和家庭冲突是风险因素，而复原力是与孕产妇心理健康相关的保护因素。尽管有这些共同的因素，但为这三个国家中的每一个国家确定了独特的最佳模式。在意大利，产妇年龄和身体健康状况差与更多的心理健康症状有关，而在荷兰，产妇的高教育和失业与心理健康症状有关。在中国，有一个以上的孩子，已婚，祖父母对母亲的支持是降低心理健康症状风险的重要保护因素。此外，高SES（母亲的高教育，高家庭收入）和身体健康状况差，被发现与中国母亲的心理健康症状的高水平。这些发现对于识别高危母亲以及在COVID-19和未来大流行期间制定心理健康促进计划非常重要。
The coronavirus disease 2019 (COVID-19) pandemic had brought negative consequences and new stressors to mothers. The current study aims to compare factors predicting maternal mental health during the COVID-19 lockdown in China, Italy, and the Netherlands. The sample consisted of 900 Dutch, 641 Italian, and 922 Chinese mothers (age M = 36.74, s.d. = 5.58) who completed an online questionnaire during the lockdown. Ten-fold cross-validation models were applied to explore the predictive performance of related factors for maternal mental health, and also to test similarities and differences between the countries. COVID-19-related stress and family conflict are risk factors and resilience is a protective factor in association with maternal mental health in each country. Despite these shared factors, unique best models were identified for each of the three countries. In Italy, maternal age and poor physical health were related to more mental health symptoms, while in the Netherlands maternal high education and unemployment were associated with mental health symptoms. In China, having more than one child, being married, and grandparental support for mothers were important protective factors lowering the risk for mental health symptoms. Moreover, high SES (mother's high education, high family income) and poor physical health were found to relate to high levels of mental health symptoms among Chinese mothers. These findings are important for the identification of at-risk mothers and the development of mental health promotion programs during COVID-19 and future pandemics.